Kemmian Derrail Johnson, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in New Orleans, Louisiana. His current practice location is
2003 Tulane Avenue, New Orleans, Louisiana. You can reach out to his office (for appointments etc.) via phone at
(504) 962-6110.
Kemmian Derrail Johnson is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1528529252.
Physician's Profile
Full Name | Kemmian Derrail Johnson |
---|
Gender | Male |
---|
Speciality | Student In An Organized Health Care Education/training Program |
---|
Location | 2003 Tulane Avenue, New Orleans, Louisiana |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1528529252
- Provider Enumeration Date: 03/26/2019
- Last Update Date: 06/04/2021
Medicare PECOS Information:
- PECOS PAC ID: 4789912585
- Enrollment ID: I20230629000692
Medical Identifiers
Medical identifiers for Kemmian Derrail Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528529252 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 325941 (Louisiana) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kemmian Derrail Johnson allows following entities to bill medicare on his behalf.
Entity Name | Signify Health Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210212002068 |
---|
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kemmian Derrail Johnson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kemmian Derrail Johnson, 1542 Tulane Ave Fl 4, New Orleans, LA 70112-2865 Ph: (504) 568-5600 | Kemmian Derrail Johnson, 2003 Tulane Avenue, New Orleans, LA 70112 Ph: (504) 962-6110 |
Reviews and Comments